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Social Services commissioner warns Medicaid budget exposed to federal changes; committee asked for granular provider‑rate plans and waiver work
Summary
Department of Social Services leaders told Appropriations members that the governor's proposal assumes continued federal matching in several large items and that a federal policy shift on the hospital provider tax or other FMAP changes could force difficult state choices. DSS said it will provide detailed provider‑rate code lists and a plan for a
Andrea Barton Reeves, commissioner of the Department of Social Services, told the Human Services Subcommittee that the department’s proposed budget depends in part on continued federal matching funds and could be significantly affected by federal policy changes.
Reeves said the administration’s budget includes a $140 million hospital supplemental payment and other federal match assumptions. When Senator Austin asked about national reporting that the federal administration had criticized the hospital provider tax, Reeves cautioned that, while the department had seen statements from federal officials, “at the moment, as we sit here, our FMAP, our federal match numbers, remain the same,” and that if federal match were lost the state would face…
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